DNA 肿瘤病毒对中低收入国家(LMICS)的影响:文献综述。

IF 4.7 Q1 VIROLOGY Tumour Virus Research Pub Date : 2024-07-06 DOI:10.1016/j.tvr.2024.200289
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引用次数: 0

摘要

DNA 病毒在人类中很常见,是全球范围内大规模癌症的病原体。它们包括人类乳头瘤病毒(HPV)、爱泼斯坦-巴氏病毒(EBV)、卡波西肉瘤相关疱疹病毒(KSHV)、肝炎病毒和人类多瘤病毒。致癌病毒采用不同的机制诱发癌症。值得注意的是,癌症只发生在少数感染者身上,通常是在长年慢性感染之后。人类乳头状瘤病毒(HPV)与最多的癌症病例有关,包括宫颈癌和其他上皮恶性肿瘤。乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)是导致肝细胞癌(HCC)的重要因素。其他肿瘤病毒包括爱泼斯坦-巴尔病毒(EBV)、卡波西肉瘤相关疱疹病毒(KSHV)、人类 T 细胞白血病病毒(HTLV-I)和梅克尔细胞多瘤病毒(MCPyV)。确定这些传染性病原体是癌症的病原体后,通过采取预防性干预措施,如接种 HBV 和 HPV 疫苗、进行基于 HPV DNA 的宫颈癌筛查、对慢性 HBV 和 HCV 感染进行抗病毒治疗,以及对输血进行 HBV 和 HCV 筛查,降低了癌症发病率。成功识别人类癌症中的其他致癌病毒可进一步了解癌症的病因和发展,并提供新的预防和治疗方法。由人类乳头瘤病毒(HPV)引起的宫颈癌是低收入和中等收入国家的主要妇科恶性肿瘤,其年龄标准化发病率和死亡率都很高;由乙型肝炎病毒(HBV)引起的肝转移癌是癌症死亡的重要原因之一;全球因感染引起的其他癌症的负担也在持续上升;因此,DNA 病毒引起的癌症已成为全球健康的重大挑战。因此,这些病毒值得持续关注和研究,因为进一步了解这些病毒并采取进一步的预防干预措施至关重要。
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The impact of DNA tumor viruses in low-to-middle income countries (LMICS): A literature review

DNA viruses are common in the human population and act as aetiological agents of cancer on a large scale globally. They include the human papillomaviruses (HPV), Epstein-Barr virus (EBV), Kaposi sarcoma-associated herpesvirus (KSHV), hepatitis viruses, and human polyomaviruses. Oncogenic viruses employ different mechanisms to induce cancer. Notably, cancer only develops in a minority of individuals who are infected, usually following protracted years of chronic infection. The human papillomaviruses (HPVs) are associated with the highest number of cancer cases, including cervical cancer and other epithelial malignancies. Hepatitis B virus (HBV) and the RNA virus hepatitis C (HCV) are significant contributors to hepatocellular cancer (HCC). Other oncoviruses include Epstein-Barr virus (EBV), Kaposi sarcoma-associated herpes virus (KSHV), human T-cell leukemia virus (HTLV-I), and Merkel cell polyomavirus (MCPyV). The identification of these infectious agents as aetiological agents for cancer has led to reductions in cancer incidence through preventive interventions such as HBV and HPV vaccination, HPV-DNA based cervical cancer screening, antiviral treatments for chronic HBV and HCV infections, and screening of blood for transfusion for HBV and HCV. Successful efforts to identify additional oncogenic viruses in human cancer may provide further understanding of the aetiology and development of cancer, and novel approaches for prevention and treatment. Cervical cancer, caused by HPV, is the leading gynaecological malignancy in LMICs, with high age-standardised incidence and mortality rates, HCC due to HBV is an important cause of cancer deaths, and the burden of other cancer attributable to infections continues to rise globally. Hence, cancers attributable to DNA viruses have become a significant global health challenge. These viruses hence warrant continued attention and interrogation as efforts to understand them further and device further preventive interventions are critical.

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来源期刊
Tumour Virus Research
Tumour Virus Research Medicine-Infectious Diseases
CiteScore
6.50
自引率
2.30%
发文量
16
审稿时长
56 days
期刊最新文献
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